Organization
LLJ MEDICAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAZARO MARTINEZ (PRESIDENT/OWNER)
(305) 480-7170
Entity
Organization
Contact information
Practice address
9145 SW 40TH ST, SUITE 2C, MIAMI, FL 33165-5371
(305) 480-7170
(305) 480-7150
Mailing address
9145 SW 40TH ST, SUITE 2C, MIAMI, FL 33165-5371
(305) 480-7170
(305) 480-7150
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC6204
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC6204
AHCA LICENSE
FL
Enumeration date
11/01/2006
Last updated
08/22/2020
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